Evidence for nonoperative management of acute limb ischemia in infants

Jesus M. Matos, Andres Fajardo, Michael C. Dalsing, Raghu Motaganahalli, George A. Akingba, Michael P. Murphy

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Acute limb ischemia (ALI) in infants is a catastrophic event. We performed a query of our database to determine those with ALI. Twelve patients were identified. The most frequent presentation was cyanotic limbs. Eleven patients were treated nonoperatively with anticoagulation. One patient was treated surgically with Fogarty balloon thrombectomy. There were three deaths all due to associated comorbidities. All had viable limbs on follow-up examination. There were three complications in the patients managed conservatively. Our recommendation for infants presenting with ALI is conservative observation with anticoagulation and intervention only for cases with tissue loss.

Original languageEnglish (US)
Pages (from-to)1156-1159
Number of pages4
JournalJournal of vascular surgery
Volume55
Issue number4
DOIs
StatePublished - Apr 1 2012

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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